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EM@3AM: Retroperitoneal Hematoma

EMDocs

1 Risk Factors: 1-4 Spontaneous Anticoagulants (Apixaban, Rivaroxaban, etc.) Older Age (median age of 70 years) 1 Abnormal vasculature/neoplasm of the kidney (e.g., 5 Clinical Presentation: 1-3 Variable presentation but may present with dropping hemoglobin/hematocrit without other findings in spontaneous cases.

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Large bowel obstruction: ED presentation, evaluation, and management

EMDocs

1 While less common than small bowel obstruction (SBO), obstruction of the large bowel is more likely to be a surgical emergency and is often associated with a serious underlying condition. 1 The most common causes of non-cancer-related LBO are cecal and sigmoid volvulus. This also serves as a tool for surgical planning.

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How To Manage Tracheo-Innominate Fistula

ACEP Now

Tracheo-innominate fistula (TIF) is an unusual and frequently lethal complication of such definitive airway placement. 1 percent of tracheostomies. 9 There may be no time in which to perform a CT scan, and as noted above, CTA and laryngoscopy may show no remarkable findings of fistula. 2005;128: 3906-9. 2021;4(30):1-4.

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EM@3AM: Total Hip Arthroplasty Complications

EMDocs

1-3 Despite its commonality it retains a relatively high rate of complications overall and patients frequently present to the ED for evaluation. 4 Pain is the most common reason for presentation in the early post operative period. 2% of THA will have a post operative deep space infection. 2020 Sep 30;5(9):558-567.

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Platelet-Lymphocyte Ratio and Neutrophil-Lymphocyte Ratio: Updates in Prognosticating Fournier Gangrene in the Emergency Department

AAEM RSA

1 His description of cases of life-threatening infections in the perineal, genital or perianal regions were thought to be idiopathic in previously healthy men. 3-5 Fournier gangrene is a type of necrotizing soft tissue infection, which can be categorized into four types based on the infectious organism involved and other features (Table 1).